MATTHEW ALEXANDER WALLACE P.A.
NPI 1427321041
Physician Assistant in New York, NY
About Matthew Alexander Wallace P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW ALEXANDER WALLACE P.A. (NPI 1427321041) is an individual physician assistant in New York, New York, licensed in New York (035105) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Wesley Chapel.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Matthew Alexander Wallace P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Matthew Wallace's NPI number?
The NPI number for Matthew Wallace is 1427321041. It was assigned to this individual provider in the NPPES registry on February 13, 2012.
Where is Matthew Wallace located?
Matthew Wallace practices at 489 5th Ave Fl 3, New York, NY 10017. The listed phone number is (888) 663-6331.
What is Matthew Wallace's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Matthew Wallace enrolled in Medicare?
Yes. Matthew Wallace is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Matthew Wallace was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Matthew Alexander Wallace, P.A. · NPI 1427321041
Physician Assistant physician in New York, New York. Individual provider, active in the CMS NPPES registry since February 13, 2012.
## Identity
- **NPI:** 1427321041 (Entity type: Individual)
- **Enumerated:** February 13, 2012
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 035105 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 489 5TH AVE FL 3, New York, NY 10017-6145
- **Phone:** (888) 663-6331 · **Fax:** (415) 252-7176
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** March 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1427321041) · Data from the CMS NPPES public registry.